Holly Sata MD , Professional Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

HOLLY SATA MD , PROFESSIONAL CORPORATION

Practice address

20201 SW Birch St Ste 100
Newport Beach, CA 92660-1781

Phone

(714) 935-9500

Fax

(714) 935-9559

NPI assigned

Nov 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Holly Sata, M.D.NPI 1295703874

Title

Physician/President

Phone

(714) 600-6760

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr Holly Sata Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Y Sata, M.D.

  • Pain Medicine Physician
  • Redding, CA
  • NPI 1295703874
  Medicare reassignment Authorized official
• Steven Van Snyder, M.D.

  • Anesthesiology Physician
  • Newport Beach, CA
  • NPI 1235199894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1417138538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MORNING CANYON RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252641",
            "telephone_number": "714-600-6760",
            "fax_number": "949-720-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601781",
            "telephone_number": "714-935-9500",
            "fax_number": "714-935-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Morning Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926252641",
            "country_code": "US",
            "telephone_number": "714-600-6760",
            "fax_number": "949-720-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLY SATA MD , PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SATA",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "714-600-6760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "G71823",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G71823",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G718230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Holly Sata",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr Holly Sata",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Walker Holcombe, MD
• Arthur E. Holden Jr., PH.D.
• Jenna Michelle Holden, LMFT
• Richard E Holevas, MD
• Samantha Holland, SLPA
• Katie Holly
• Darionna Holmes
• Natalie Malia Holt, MS CCC-SLP
• William Stephen Holtz, M.D.
• Kayla Marguerite Holzmuller, M.S., SLP

• Pain Medicine (Anesthesiology) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.